Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $67.86 / $143.07 / $171.36	Facility		$67.86	$143.07	$171.36
United Facility/Professional Professional Modifier Low / Median / High Price $33.06 / $33.06 / $74.53	Professional		$33.06	$33.06	$74.53